some states like texas set very severe caps. they haven't seen lower trend lines because they set the cap. it's absolutely true that doctors practice defensive medicine. it's true the tort system doesn't work. it's true we need changes. it's all true. it won't fix the terrorist trends. they because of it's because of a rationality in the system. it's because of delivering too many of the wrong kinds of social security. yo lot of ama's answer to this and physician's answer is tort reform. you can say, you know, yes, you are right the tort system needs to be fixed. it's not the answer to the cost trends. >> thank you, doctor. that was incredibly interesting. [applause] i want to ask our executive director to give us an update on the association and assistanting state to control health costs while maintaining quality. >> thank you we're trying to emulate what jeff it doing. we have an agreement with jeff trying to utilize his technique. we have awarded seven states project to see if we can take some of the technique jeff and his co